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Ching-Hao Chang, MD; Ya-Ching Chang, MD; Hong-Shang Hong, MD, PhD
Chang Gung Memorial Hospital, Taipei, Taiwan

Arch Dermatol. 2004;140:1393-1398.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 57-year-old Chinese man presented with a 3-month history of a slowly growing ulcerated nodule on his scalp. The lesion, which had developed as a small asymptomatic erythematous nodule, did not concern the patient much initially. However, the lesion persisted and gradually enlarged, and shortly before the patient’s visit to the dermatology clinic, it became ulcerated and bled easily. The patient’s medical history was unremarkable. A review of systems revealed no other abnormalities except for a recent weight loss of 6 kg.

On physical examination, an ulcerated erythematous nodule, 2.5 cm in diameter, was observed over the right parietal scalp area (Figure 1). The lesion appeared to have a large subcutaneous component. On palpation, no pulsation or thrill was found. There was no regional lymphadenopathy. An excisional biopsy specimen was obtained (Figure 2).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure . . . [Full Text of this Article]